Contextual factors affecting the integration of community health workers into the health system in Limpopo Province, South Africa.

Abstract:

BACKGROUND:Community health workers (CHWs) are an essential cadre in the health systems of many low- and middle-income countries. These workers provide a wide variety of services and are key to ongoing processes of task shifting within human immunodeficiency virus programmes in particular. Ward-based outreach teams (WBOTs) are South Africa's latest iteration of the CHW programme and have been introduced as part of the National Department of Health's Primary Health Care Re-engineering programme. METHODS:In order to assess the perceived effectiveness of the WBOTs in supporting the ongoing rollout of antiretroviral therapy, tuberculosis care and patient support, we conducted a qualitative investigation focusing on the perceived successes and challenges of the programme among CHWs, community leaders, healthcare workers and community members in the Mopani district, Limpopo province, South Africa. RESULTS:The CHW programme operates across these contexts, each associated with its own set of challenges and opportunities. CONCLUSIONS:While these challenges may be interrelated, a contextual analysis provides a useful means of understanding the programme's implementation as part of ongoing decision-making processes.

journal_name

Int Health

journal_title

International health

authors

Jobson G,Naidoo N,Matlakala N,Marincowitz G,Railton J,McIntyre JA,Struthers HE,Peters RPH

doi

10.1093/inthealth/ihz082

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

281-286

issue

4

eissn

1876-3413

issn

1876-3405

pii

5613944

journal_volume

12

pub_type

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